It's important to talk to your doctor about any symptoms you may have. In one study, early detection of chronic fatigue syndrome (CFS) and early treatment of its symptoms resulted in a quicker recovery when people informed their doctors of their symptoms.⁵

Call your doctor if you have:

• Severe fatigue that lasts longer than 2 weeks, causes you to limit your usual activities, and does not improve with rest.
• Sleep problems (being unable to fall asleep or stay asleep, tossing and turning, waking up feeling tired or not rested) that last for more than 1 to 2 months.
• Swelling in the glands in your neck or armpits (without other signs of infection) that lasts for at least 2 weeks.
• Severe fatigue along with frequent urination (especially at night), extreme thirst, weight loss, or blurred vision. Fatigue that occurs with some or all of these may be a symptom of undiagnosed diabetes.

Because there are no tests that can confirm a diagnosis of CFS, many people have trouble accepting their disease or getting their friends and family to do so. You may even experience feelings of guilt. Having people who believe your diagnosis and support you is very important. Having a doctor you can trust is critical.

Watchful Waiting

Fatigue is very common and many other things can cause it. Stress, lack of sleep, lack of exercise, illness, or another health condition may be to blame. Most people with fatigue do not have CFS.

Watchful waiting refers to a period of time in which you are being monitored by your doctor but are not receiving treatment. It is also called observation or surveillance. A month or two of paying close attention to your sleep habits, getting regular moderate exercise, trying to control stress, and eating a balanced diet will take care of most cases of fatigue not caused by CFS or another medical problem. However, if your fatigue has not improved after 1 to 2 months of self-care, or if fatigue is persistent and limits your usual activities, call your doctor.

If you have been diagnosed with CFS, pay attention to any new symptoms that you develop and report them to your doctor. Although CFS can cause a variety of symptoms, new symptoms could be caused by another illness or medical condition that may need to be evaluated and treated.

Who To See

The following health professionals can evaluate fatigue and other symptoms:

• Nurse practitioner
• Physician assistant
• Family doctor
• Internist

There are doctors who specialize in the treatment of CFS. Get a recommendation from your family doctor or a local CFS support group before making an appointment with a specialist. It is always wise to start with your family doctor. You may also be referred to a psychologist or psychiatrist.

To prepare for your appointment, see the topic Making the Most of Your Appointment